The Credentialing Handbook
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The Credentialing Handbook
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Author : Sheryl Deutsch
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1999
The Credentialing Handbook written by Sheryl Deutsch and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Allied health personnel categories.
The Credentialing Handbook provides comprehensive, plain-English guida nce to understand and master the provider credentialing process in any health care setting. With sample forms, checklists, flowcharts, and c orrespondence, this practical guide walks you through every aspect of effective credentialing, appointment, and recredentialing. You'll lear n: key steps in the credentialing process; about express credentialin g models; how to credential allied health practitioners; typical time frames and tracking systems; pros and cons of delegating credentialin g, plus more.
The Credentialing Coordinator S Handbook
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Author : Anne Roberts
language : en
Publisher: HC Pro, Inc.
Release Date : 2007
The Credentialing Coordinator S Handbook written by Anne Roberts and has been published by HC Pro, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Hospitals categories.
The Handbook For Credentialing Healthcare Providers
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Author : Ellis Knight
language : en
Publisher:
Release Date : 2016-04
The Handbook For Credentialing Healthcare Providers written by Ellis Knight and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04 with Medical categories.
This handbook enables your organization to systemize the tedious, ongoing, and mandatory process of credentialing your medical staff and to understand why you must! Healthcare organizations must have credentialed medical staffs to deliver their services. The reasons are two-fold: First, educated, licensed, experienced, and proven caregivers ensure that a hospital or medical practice is capable of delivering quality care. Secondly, payers require that the physicians and other licensed healthcare professionals are qualified and licensed to work with their patients. Before receiving payment for services, the provider must have specific credentials for providing that service. Verifying and documenting the credentials of a healthcare provider is tedious, ongoing, and mandatory. An organization with a large medical staff may struggle with keeping the credentialing function current, as many licenses have rolling expirations. Credentialing ensures that clinical practitioners are duly qualified, licensed, and board certified. It reports the history of malpractice claims, state-instituted sanctions, or other undesirable professional circumstances of providers. Credentialing and privileging of healthcare professionals protects patients and hospitals by minimizing the risk of medical errors that may result from the work of incompetent providers. It also undergirds the reputation and credibility of the institution in the eyes of providers and across the healthcare community. Further, credentialing with insurers forms the basis for reimbursement for professional services. Without the acceptance of the professional credentials of a provider, insurers and other third-party payers will not compensate his or her claims. The purpose of this book is to explain the necessity and to provide the process for the official documentation of each practitioner. The information presented in these chapters will serve as a practical resource for strengthening your organization's credentialing function. = Book Features! -Outlines the necessity for credentialing in the delivery of care and in attaining reimbursements for services provided -Explores options for in-house and outsourced credentialing function -Provides systematic process for ongoing credentialing operations
Handbook For Credentialing Healthcare Providers
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Author : Ellis Mac Knight
language : en
Publisher:
Release Date : 2016
Handbook For Credentialing Healthcare Providers written by Ellis Mac Knight and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with HEALTH & FITNESS categories.
The Medical Staff Services Handbook
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Author : Cindy Gassiot
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2011-08-24
The Medical Staff Services Handbook written by Cindy Gassiot and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-08-24 with Education categories.
Rev. ed. of: The medical staff services handbook / [edited by] Cindy A. Gassiot, Vicki L. Searcy, Christina W. Giles. c2007.
The Credentialing Orientation Kit
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Author : Hugh P. Greeley
language : en
Publisher:
Release Date : 1999-09-01
The Credentialing Orientation Kit written by Hugh P. Greeley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-09-01 with Allied health personnel categories.
"The credentialing orientation kit enables you to 'publish' a brief, customized handbook describing your organization's credentialing process ..."--Page 3.
Credentials Committee Essentials Handbook
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Author : Richard A. Sheff
language : en
Publisher: Hcpro Incorporated
Release Date : 2014-05-14
Credentials Committee Essentials Handbook written by Richard A. Sheff and has been published by Hcpro Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-14 with MEDICAL categories.
Get the knowledge needed to serve as an effective Credentials Committee Member and fulfill the role well. The Credentials Committee Essentials Handbook clarifies the critical role of the credential committee member and their responsibilities in relation to MEC, quality committee, and department chairs. With this handbook credentialing committee members can over come the challenges of insufficient leadership training and equip them with the information they need to serve as an effective committee member throughout their appointment. Plus, to make staff training easy, this handbook includes a customizable PowerPointr presentation highlighting key takeaways covered in the handbook. Benefits of Credentials Committee Essentials Handbook: * Earn CE and certification credits * Assess, document, and comply with The Joint Commission's core competencies * Verify the competence of advance practice professionals and allied health professionals * Understand the role of physician leaders in focused professional practice evaluation (FPPE), ongoing professional practice evaluation (OPPE), and peer review * Overcome challenges presented by low- and no-volume providers and legal issues such as negligent credentialing * Avoid costly, time-consuming fair hearings * Oversee professional conduct and confront disruptive behavior What's inside: * State the four steps of credentialing by the MEC, governing board, department chairs, committees, and medical staff leaders * Identify the role of the credentials committee member in relation to the MEC, quality committee, and department chairs * Explain what focused professional practice evaluation is and is not * Summarize the medical staff response to a physician requesting new technology privileges * Identify two targets to create three performance levels * Describe the strategic and competency goals of low- and no-volume providers, impaired physicians, and aging physicians * Name the primary drivers of privilegin
Handbook Of Research On Credential Innovations For Inclusive Pathways To Professions
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Author : Huang, Yi
language : en
Publisher: IGI Global
Release Date : 2021-09-24
Handbook Of Research On Credential Innovations For Inclusive Pathways To Professions written by Huang, Yi and has been published by IGI Global this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-24 with Education categories.
With increasingly interconnected educational and employment ecosystems, credential innovations are trailblazing multiple pathways to professions at a pivotal moment of rapid change. In the current state of credential proliferation, the quest for simultaneous improvement of quality and value reflects heightened cross-sector interests, while at the same time the quest for concurrent enhancement of access and success remains. With the evolving educational models, technologies, and organizations, credential innovations will continue to serve as powerful catalysts in realizing the great promise for inclusive pathways to professions. The Handbook of Research on Credential Innovations for Inclusive Pathways to Professions surveys the state of credential innovations, examines trends and issues, and explores models and strategies with case studies across sectors and disciplines. The 21 chapters are organized in three sections. Section I, Credential Innovations Amid Evolving Ecosystems, features a powerful array of change theories-in-action with topics ranging from conceptual re-visioning to organizational restructuring and programmatic reengineering within evolving ecosystems. Section II, Credential Innovations and Propositions Across Sectors, spotlights diverse approaches to and propositions of credentials within complex socio-economic landscapes across education, business, and technology industries. Section III, Credential Innovation Models and Strategies, showcases institutional innovations ranging from model developments, pedagogical approaches, and personalized engagements to outcome measurements and strategies for sustainable implementation. Lessons learned and implications are explored to share promising practices, inform current development, and influence future policies toward inclusive excellence in education and the workplace.
The Medical Staff Professional S Handbook
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Author : Anne Roberts
language : en
Publisher:
Release Date : 2011-06-23
The Medical Staff Professional S Handbook written by Anne Roberts and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-06-23 with categories.
The Medical Staff Professional''s Handbook The essential medical staff professional''s job manual Let your experienced peers provide you with the guidance and training you need to tackle your toughest challenges.The Medical Staff Professional''s Handbook is a comprehensive job manual developed by medical staff professionals (MSPs) Anne Roberts, CPMSM, CPCS, and Maggie Palmer, MSA, CPMSM, CPCS. While providing much-needed education for new MSPs, this book and downloadable toolkit also offer veterans new ideas, tips, sample policies, customizable forms, and advice for improving medical staff and credentialing processes. After reading this book, you will be able to: Define the roles, tasks, and expectations for MSPs to clearly identify their priorities Manage FPPE and OPPE processes to effectively assess physician competency Streamline and improve credentialing and privileging processes with dozens of customizable forms and sample tools Comply with accreditation and regulatory standards by understanding the MSP''s role in accreditation and the consequences of noncompliance Discover important tips to save time and increase efficiency on daily medical staff office tasks Support the medical staff and communicate with leadership Table of ContentsAbout the Authors Introduction Acronyms and Abbreviations Section I: The Successful Medical Staff Professional Chapter 1: Roles and Responsibilities of Medical Staff Professionals The Responsibilities of MSPs Who MSPs Support in the Organization Chapter 2: Managing External and Internal Relationships Navigating External Relationships Navigating Internal Relationships Chapter 3: Review of Credentialing, Privileging, and Medical Staff Standards History of Regulatory Agencies How the Standards Apply to MSPs Joint Commission Requirements What MSPs Should Expect During Accreditation Surveys Chapter 4: Legal and Regulatory Considerations for Medical Staff Professionals Managing Bylaws Rules and Regulations Corrective Action and Due Process Policies and Procedures HCQIA of 1986 NPDB Healthcare Integrity and Protection Data Bank Sharing Information Credentialing Interrogatories Attestation, Acknowledgments, and Release Forms Criminal Background Checks Disruptive and Impaired Practitioners Section II : Effective Credentialing and Privileging Chapter 5: The Credentialing Process Credentialing Basics Rules to Guide Your Credentialing Process Roles and Responsibilities During the Credentialing Process The Application Process Collecting and Verifying Information Review and Approval Process Chapter 6: Credentialing Responsibilities After the Initial Application Orientation for Patient Care Organizations Credentials Expiration Tracking and Ongoing Monitoring Tips for Avoiding Claims of Negligent Credentialing Chapter 7: The Privileging Process Implementing a Privileging Process Developing Clinical Privilege Delineations Granting Clinical Privileges Based on Competency Final Recommendations for Privileges Chapter 8: Reappointment Initiating the Reappointment Process Accepting the Application Performing Primary Source Verification Creating the Reappointment Profile Quality Review, Ongoing Evaluation, and Monitoring Review and Approval Chapter 9: Credentialing and Privileging Hurdles Low- and No-Volume Practitioners Allied Health Practitioners Telemedicine Practitioner Data and Document Confidentiality Leaves of Absence Paperless/Paper-Light Credentialing System Transition New Technology Privileging Chapter 10: Temporary, Emergency, and Disaster Privileges and Expedited Board Approval Temporary Privileges Emergency Privileges Disaster Privileges Fast-Track or Expedited Credentialing Section III : Measuring Practitioner Competency Chapter 11: Focused Professional Practice Evaluations Requirements for an FPPE Policy and Process Developing FPPE Criteria FPPE at Initial Granting of Privileges Tracking Completion of FPPE FPPE for Additional Privileges FPPE for Cause (Ongoing Professional Practice Evaluation, Peer Review, Leave of Absence Reinstatement) Chapter 12: Ongoing Professional Practice Evaluations Developing a Systematic Approach to OPPE Developing Quality Indicators Periodic Performance Feedback Reports Section IV : Sample Forms and Policies Credentialing Sample Forms Privileging Sample Forms Reappointment Sample Forms Competency Sample Form Continuing Education This book has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
The Credentials Committee Manual
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Author : Mark A. Smith
language : en
Publisher:
Release Date : 2016-05-30
The Credentials Committee Manual written by Mark A. Smith and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-05-30 with categories.
Best practices for compiling and using data in reappointment decisions, navigating credentialing considerations for nonphysician practitioners, preventing turf battles, and avoiding legal issues